Healthcare Provider Details

I. General information

NPI: 1750638821
Provider Name (Legal Business Name): TRI-CITY EMERGENCY MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2012
Last Update Date: 09/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2122 S EL CAMINO REAL SUITE 100
OCEANSIDE CA
92054-6208
US

IV. Provider business mailing address

2122 S EL CAMINO REAL SUITE 100
OCEANSIDE CA
92054-6208
US

V. Phone/Fax

Practice location:
  • Phone: 760-681-5222
  • Fax: 760-681-5151
Mailing address:
  • Phone: 760-681-5222
  • Fax: 760-681-5151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RANDALL G. BROWNING
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 760-439-1963